Jul 1, 2008 … 17b and the referring provider's NPI is mapped to a taxonomy code that is
needed …. Schedule for service limitations and the services that require prior
authorization. ….. Third Party Coverage: If payment from a primary insurance
carrier is expected or …. This amount must equal the total of the TPL entries in.

Nov 30, 2015 … Appendix 4 Aid Category Listing (Identifies member program eligibility) . …..
Diagnosis codes come from Volume 1 of the ICD-9-CM Manual. …. Medicare
intermediary or carrier; and (c) any entity (other than an …. TPL is used to refer to
another source of payment for covered services provided to a Medicaid.

The Department has an agreement with the Medicare Part B carrier for Mon- tana
(Noridian) and the …. TPL claim services where Medicaid is the secondary payer
under …. the website lists the supply codes that may be separately payable.

This is a training checklist designed to provide an outline for Rural Health Clinics
and Provider-. Based Rural … Administrative Code, and the Alabama Medicaid
Provider Manual as amended. Alabama … Liability (TPL) Carrier Codes.
Contains …